Botsford General Hospital

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BOTSFORD GENERAL HOSPITAL

Doing business as

Midwest Urgent Care

Practice address

15540 Beech Daly Rd
Redford, MI 48239-3804

Phone

(313) 387-5253

NPI assigned

Jul 16, 2010

Last updated

Aug 21, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

BOTSFORD GENERAL HOSPITALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lesley Willbrandt

Title

Director Shared Services

Phone

(947) 522-1911

Specialties & licenses 1

Addresses

Other names 1

• Midwest Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Botsford General Hospital

  dba Farmington Village Family Practice (NP)

  • General Practice Registered Nurse
  • Farmington, MI
  • NPI 1134557960

  2668385238

  Same PAC ID
• Botsford General Hospital

  dba Beaumont Hospital-Farmington Hills

  • Rehabilitation Hospital Unit
  • Farmington Hills, MI
  • NPI 1154363406

  2668385238

  Same PAC ID
• Botsford General Hospital

  • Certified Registered Nurse Anesthetist
  • Farmington Hills, MI
  • NPI 1235179664

  2668385238

  Same PAC ID
• Botsford General Hospital

  dba Beaumont Hospital-Farmington Hills

  • General Acute Care Hospital
  • Farmington Hills, MI
  • NPI 1336183367

  2668385238

  Same PAC ID
• Botsford General Hospital

  dba Botsford Perinatology Associates

  • Maternal & Fetal Medicine Physician
  • Farmington Hills, MI
  • NPI 1518091735

  2668385238

  Same PAC ID
• Botsford General Hospital

  dba Internal Medicine Associates Farmington Hills

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1538103395

  2668385238

  Same PAC ID
• Botsford General Hospital

  dba Beaumont Pharmacy Farmington Hills

  • Community/Retail Pharmacy
  • Farmington Hills, MI
  • NPI 1619079043

  2668385238

  Same PAC ID

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Botsford General Hospital

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1114935566

  O20031112000329

  Same enrollment
• Botsford General Hospital

  • Pediatrics Physician
  • Farmington, MI
  • NPI 1437191947

  O20031112000329

  Same enrollment
• Botsford General Hosptial

  dba Comprehensive OBGYN Livonia

  • Obstetrics & Gynecology Physician
  • Livonia, MI
  • NPI 1487698247

  O20031112000329

  Same enrollment

Part of

Botsford General HSP

Locations (25 of 34)

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Botsford Continuing Care Corporation

  dba Beaumont Rehabilitation & Continuing Care, Farmington Hills

  • Skilled Nursing Facility
  • Farmington Hills, MI
  • NPI 1356374185

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 166

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ruhel Ahmad, MD

  • Pediatrics Physician
  • Farmington Hills, MI
  • NPI 1447780754
  Medicare reassignment NPD
• Natalie Blum, D.O.

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1689024606

  Single Specialty

  Medicare reassignment NPD
• Tarek Garada, MD

  • Pediatrics Physician
  • Farmington, MI
  • NPI 1962444679
  Medicare reassignment NPD
• Alyson Maryann Greenwell, MD

  • Pediatrics Physician
  • Farmington, MI
  • NPI 1831548221
  Medicare reassignment NPD
• Khyrista Denise Jones, DO

  • Pediatrics Physician
  • Farmington, MI
  • NPI 1821652835
  Medicare reassignment NPD
• Carla Oska-Gerak, DO

  • Pediatrics Physician
  • Royal Oak, MI
  • NPI 1619107133
  Medicare reassignment NPD
• Dilli Ramesh, MD

  • Pediatrics Physician
  • Farmington, MI
  • NPI 1194767194
  Medicare reassignment NPD
• Sumati Reddy, MD

  • Pediatrics Physician
  • Farmington Hills, MI
  • NPI 1699711903
  Medicare reassignment NPD
• Daniel Edison Zoller, M.D.

  • Pediatrics Physician
  • Farmington Hills, MI
  • NPI 1245431212
  Medicare reassignment NPD
• Karyssa Ann Bobosky, MD, MPH

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Danville, PA
  • NPI 1407414030

  MI

  Medicare reassignment NPD
• Jamila Albert, AGPCNP-BC

  • Nurse Practitioner
  • Livonia, MI
  • NPI 1083086482
  NPD
• Megan Therese Amos, DO

  • Obstetrics & Gynecology Physician
  • Livonia, MI
  • NPI 1457513574
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1831402056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15540 BEECH DALY RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393804",
            "telephone_number": "313-387-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTSFORD GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOTSFORD GENERAL HOSPITAL",
        "enumeration_date": "2010-07-16",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "WILLBRANDT",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "DIRECTOR SHARED SERVICES",
        "authorized_official_telephone_number": "947-522-1911"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blossomcare, LLC
• Bluesky Care LLC
• Georgetta W Bond
• Botsford General Hospital (South Redford School Based Health Center)
• Botsford General Hospital (Beaumont Hospital - Farmington Hills)
• Latoya Ca'Priece Bowers
• Jennifer Lynne Bowser, PTA
• Deangelo Boyce
• Sheryl Lynn Boye, OTR
• Grace L Bradley, LLMSW

• Urgent Care Clinic/Center in Redford, MI
• Providers in Redford, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.